Individual provider Active NPI

Kristine Marie Hendricks, LPC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1518221563
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17043 Issued in AZ
Practice address
8955 E Pinnacle Peak Rd Ste 99
Scottsdale, AZ 85255-3624
Phone
(480) 382-2807
NPI assigned
Jun 25, 2012
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17043 AZ Primary

Addresses

Primary practice location

8955 E Pinnacle Peak Rd Ste 99
Scottsdale, AZ 85255-3624

Mailing address

8955 E Pinnacle Peak Rd Ste 99
Scottsdale, AZ 85255-3624
Phone (480) 442-7565

Other practice location 1

10429 S 51st St Ste 215
Phoenix, AZ 85044-5237
Phone (480) 382-2807

Other practice location 2

5010 E Shea Blvd Ste 255
Scottsdale, AZ 85254-4612
Phone (480) 382-2807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17043AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Az Pinnacle Counseling LLC Professional CurrentSince Oct 6, 2024 Accepting new patients

Locations

10429 S 51st St
Ste 215
Phoenix, AZ 85044
Phone (480) 382-2807

5010 E Shea Blvd
Ste 255
Scottsdale, AZ 85254
Phone (480) 382-2807

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1518221563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 E PINNACLE PEAK RD STE 99",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553624",
            "telephone_number": "480-442-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 E PINNACLE PEAK RD STE 99",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553624",
            "telephone_number": "480-382-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10429 S 51st St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445237",
            "country_code": "US",
            "telephone_number": "480-382-2807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5010 E Shea Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544612",
            "country_code": "US",
            "telephone_number": "480-382-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.